Cath change by Nurse

[sjmccarl52]

The doctor puts a standing order for periodic cath changes. The patient comes in and the nurse does the cath change. Can we bill the procedure or should we be billing a nurse visit only. The doctor may or may not be in the office suite. Thanks.

 

[kenedbrown]

I would just bill the service performed. To bill a nurses visit the Doc has to be present and readly available (per medicare), or a supervising doctor of the same specialty. They must also review and sign off on the visit. Hope this helps.

 

[mitchellde]

If you bill the procedure, even the doctor must be present as you use his NPI number as the rendering/supervising provider.